When teaching the client how to use a straight cane, the nurse would include which of the following?
1. Hold the cane with the hand on the weak side.
2. Remove all scatter rugs from the home.
3. Move the cane 12 inches ahead of the foot.
4. Keep the elbow straight when moving the cane forward.
2
Rationale: Scatter rugs can cause a client with a cane to fall, as the rug moves easily and does not provide a stable surface for the client. Prevention of falls would be the priority teaching for this client. The cane is held in the hand on the strongest side, moved forward 6 inches, and the elbow should be slightly bent.
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The nursing instructor is researching the five proficiencies regarded as essential for students and professionals. Which organization, if explored by the instructor, would be found to have added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN) b. Institute of Medicine (IOM) c. American Association of Colleges of Nursing (AACN) d. National League for Nursing (NLN)
The nurse would anticipate that a patient on Vasotec (ACE inhibitor) would have as a positive outcome to this drug:
1. increased fluid retention. 2. decreased blood pressure. 3. decreased urine output. 4. increased appetite.
The nurse is reviewing the mechanism of action of cholinergic drugs. The undesired effects of cholinergic drugs come from the stimulation of which receptors?
a. Muscarinic b. Nicotinic c. Cholinergic d. Ganglionic
Dr. Schneider wants to obtain a sample of Laura's blood for a routine blood test. He uses an antiseptic swab to clean the skin before using a hypodermic syringe. After he obtains a sample, Dr. Schneider asks Laura to hold some cotton on the site of the injection. He explains that the antiseptic used increases bleeding. Which of the following chemicals is most likely to be part of the antiseptic solution?
A. Chlorhexidine B. Sodium hypochlorite C. Povidone-iodine D. Isopropyl alcohol